Lyudmila Avshalumova, L.AC
Individual provider Active NPI Acupuncturist · Corona, NY
NPI 1194133926 · NPPES record last updated Jul 24, 2014
Key facts
- NPI
- 1194133926
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 002911 (NY)
- Practice address
- 104-08 Roosevelt Ave
Corona, NY 11368 - Phone
- (718) 429-0545
- Fax
- (718) 499-1200
- NPI assigned
- Jul 24, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002911 | NY | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 002911 | NY | Yes |
Addresses
Primary practice location
104-08 Roosevelt Ave
Corona, NY 11368
Mailing address
441 Ocean Pkwy
Apt. 4E
Brooklyn, NY 11218-5154
Phone (646) 509-8983
Other providers in Corona, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.